Ten Essential Shared Capabilities

1. Ten Essential Shared Capabilities One Day Facilitators Workshop

2. Learning outcomes At the end of the workshop the participant will have: An understanding of the 10 ESC and supporting materials An understanding of how ESC link to current policy drivers An opportunity to experience the materials An insight into integrating ESC into the organisation The knowledge and skills required to support the effective delivery of the 10 ESC The following resources to support delivery of a facilitators workshop A Facilitator handbook A participants workbook A presentation The following resources to support delivery of a the full learning materials A Facilitators handbook A presentation

3. Introduction to the 10 ESC Developed in conjunction with service users and carers Reflect how people who use mental health services, and those who support them, want and expect to be treated Identify the capabilities that all staff working in mental health services should achieve as a minimum part of their basic training Describe the values and principles that should be demonstrated, or evident in the way that services are commissioned, planned, and delivered; The learning materials are available in electronic form from www.lincoln.ac.uk/ccawi

4. What are the 10 ESC? Working in partnership Respecting Diversity Practising Ethically Challenging inequality Promoting Recovery Identifying people�s needs and strengths Providing service user centred care Making a difference Promoting safety and positive risk taking Personal Development and learning www.lincoln.ac.uk/ccawi

5. 10 ESC learning materials Induction Module Introductory Workshop/Module 2 Four Day Programme Additional ESC materials Recovery RECC Dual Diagnosis Gender Equality Available from www.lincoln.ac.uk/ccawi

6. Module 1 � getting started This module introduces you to the Ten Essential Shared Capabilities learning materials It starts with a general description and then divides into two sections: Preparation for facilitators and managers Preparation for learners After completing this module you will be able to: Describe the Ten Essential Shared Capabilities, explain how they are supported by evidence-based and values-based practice, and give examples of how they relate to key areas in mental health work.

7. Module 2 � The 10 ESC This module introduces you to each of the Ten Essential Shared Capabilities. After completing this module, you will be able to: Describe the Ten Essential Shared Capabilities and how they relate to mental health work

8. Quotation �In the mental health services we are used to thinking about people�s experience in terms of the supports and interventions that mental health workers provide. We think in terms of in-patient facilities, outreach services, medication, occupational therapy, art therapy, and �psychosocial interventions�. We think of symptom reduction and discharge as indices of success. This is the wrong place to start. Everyone who experiences mental health problems faces the challenge of recovery, i.e. rebuilding a meaningful and valued life. Whether a person�s problems are time-limited or ongoing, whether or not their symptoms can be eliminated, they face the task of living with, and growing beyond, what has happened to them. The help offered by mental health workers needs to be considered in terms of the extent to which they facilitate, or hinder, this process of recovery.� Repper and Perkins (2003): 

9. Module 3 � Involving service users & carers This module explores the link between the 10 ESC and service user and carer involvement. After completing this module you will be able to: Describe the link between service user involvement, carer involvement and the 10 ESC Answer the question: what is service user and carer involvement? Present evidence about how you are promoting service user and carer involvement

10. Service user involvement list Service users need to be encouraged and allowed to express an opinion. Service users and carers are entitled to hold an opinion that is different to the worker�s. Service users need to identify their own strengths, resources and goals. The worker�s role is to assist people to reach their full potential. The service user should be able to give feedback about the care they receive, without fear. Service users should receive explanations and information. The service user should be at the centre of the process, actively involved in any changes in care. Service users should receive written copies of care plans, and be offered support and advocacy to help them to express concerns and unmet needs

11. Module 4 � Values based practice Values-based practice is a new way of working positively with diversity and differences of values. This module is based on the ten key pointers to good process in values based practice underpinned by the National Institute for Mental Health in England (NIMHE) Values Framework After completing this module you will be able to: Explain what values-based practice (VBP) means in mental health and social care. Describe the 10 pointers to good process in VBP. Explain the relationship of VBP to the 10 ESC

12. The NIMHE Framework of Values for Mental Health NIMHE has developed a National Framework of Values for Mental Health. This work is guided by three key principles of values-based practice: Recognition � NIMHE recognises the role of values alongside evidence in all areas of mental health policy and practice. Raising Awareness � NIMHE is committed to raising awareness of the values involved in different contexts, the role/s they play and their impact on practice in mental health. Respect for diversity � NIMHE believes that the values of individual service users and their communities should be the starting point and key deciding factor in all actions by mental health workers. Respect for diversity is addressed in a range of policies and principles concerned with equality. It is unacceptable (and sometimes unlawful) to discriminate on grounds such as gender, sexual orientation, age, disability, religion, race, ethnicity or culture. Values underpin our priorities, influence our decisions and guide our actions. In respecting diversity services need to be: service user-centred � so that individual values are at the centre of policy and practice recovery focused � so that strengths, resources and cultural characteristics of service users are built on to support different routes to recovery; multidisciplinary � so that mutual respect develops between: service users, carers/relatives, friends, communities and mental health providers different groups of workers (nurses, psychologists, psychiatrists, social workers) different types of service (health, social care, housing, voluntary organisations) dynamic � so that they are willing and able to change reflective � so that they are able to look at their own practice balanced � so that they are aware of positive as well as negative values; relationship-focused � so that they recognize the importance of positive relationships and good communication skills

13. Module 5 � Race equality and Cultural Capability This module it is designed to help you explore the links between the 10 ESC and race equality and cultural capability�. After completing this module you will: Be aware of the history and background to the experience of Black and Minority Ethnic (BME) mental health service users Understand the connections between the broad themes relating to race, culture, oppression, mental health, the Ten Essential Shared Capabilities and your personal practice Understand and be able to apply a number of key terms and concepts within the race, culture and mental health debate Understand the importance of organisational as well as individual change in relation to delivering race equality

14. The Answers � Key words in RECC 1. Culture 9. Holistic 2. Ethnic Group 10. Empowerment 3. Black 11. Assimilation 4. Race 12. Multicultural 5. Prejudice 13. Colour-blind 6. Stereotyping 14. Oppression 7. Discrimination 15. Privilege 8. Diagnosis 16. Race Equality

15. Module 6 � Developing socially inclusive practice This module explores the link between 10 ESC and developing socially inclusive practice. After completing this module you will be able to: Challenge the processes that lead to inequality and exclusion; Adopt assessments and interventions that are inclusion-focused and user-centred; Understand the importance of working in partnership with mainstream

16. Two specific groups of people: Those who say they like segregated services where they are surrounded by other mental health service users and staff. They simply prefer a day centre to a job, a mental health class to a mainstream class, a hospital ward to home treatment. Those who are considered to �need� segregated services for their own or other people�s safety or to give them the time and space to recover (e.g. in a therapeutic community).

17. Policy Drivers � Key Messages Policy Drivers The CPA New Ways of Working Darzi Review IAPT Personalisation Agenda Mental Health Act Key Messages Person centred /needs led services Choice Efficient services Effective Team Working Whole systems approach Flexible & Capable workforce that reflects needs Unlocking Talents Extended/new roles

18. Policy into practice What we need What we have What we need

19. Regional support CCTA Facilitators workshops CCTA Facilitators 10 ESC workshops 10 ESC workshop attendees Ongoing support Co- facilitation Workshops

20. Thank you! If you require any further information please do not hesitate to contact: Nicki Hollingsworth 07818046431 nicki@dpfs.karoo.co.uk